The Epidemiology of rugby injuries in a South African high school over a one-year period

Contributors
Phumelele M Skosana Pieter H Boer Catherine C Grant Dimakatso A Ramagole
DOI icon https://doi.org/10.36386/sajrsper.v45i3.261
Abstract

Adolescent rugby players have a high risk for injuries; however, injury prevention programmes have reduced the incidence of injuries amongst this group. The purpose of this retrospective analysis was to evaluate the epidemiology of rugby injuries at a South African high school over one season. There were 99 participants over a total of 98 matches and the participants were aged between 13 and 18 years. Information on the type of injuries was documented and the injury proportion (IP), injury incidence and 95% confidence intervals (CI) were calculated, with 1000 player-hours as the denominator. Ninety-nine injuries were recorded, with a total injury incidence of 34.1 injuries/1000 player-hours (95% CI 27.4–40.8). Injuries were predominantly of moderate severity (IP: 25.3%) with a time-loss period of 8 to 28 days. Injuries to the head, neck and spine were the most common (IP: 38.4%; incidence: 13.1; 95% CI 8.9–17.2). The findings on the nature of injuries were largely consistent with current local and international research on high school rugby, with the head, neck and spine remaining at a significant risk of injury. It is recommended that injury prevention programmes further enforce safety guidelines for the protection of the head, neck and spine amongst high school athletes.

References
  1. ABERNETHY, L. & MACAULEY, D. (2003). Impact of school sports injury. British Journal of Sports Medicine, 37: 354-355. doi: 10.1136/bjsm.37.4.354
  2. ARCHBOLD, H.A.; RANKIN, A.T.; WEBB, M.; NICHOLAS, R.; EAMES, N.W.; WILSON, R.K.; HENDERSON, L.A.; HEYES, G.J. & BLEAKLEY, C.M. (2017). RISUS study: Rugby Injury Surveillance In Ulster Schools. British Journal of Sports Medicine, 51: 600-606. doi: 10.1136/bjsports-2015-095491
  3. BAHR, R.; CLARSEN, B.; DERMAN, W.; DVORAK, J.; EMERY, C.A.; FINCH, C.F.; HAGGLUND, M.; JUNGE, A.; KEMP, S.; KHAN, K.M.; MARSHALL, S.W.; MEEUWISSE, W.; MOUNTJOY, M.; ORCHARD, J.W.; PLUIM, B.; QUARRIE, K.L.; REIDER, B.; SCHWELLNUS, M.; SOLIGARD, T.; STOKES, K.A.; TIMPKA, T.; VERHAGEN, E.; BINDRA, A.; BUDGETT, R.; ENGEBRETSEN, L.; ERDENER, U. & CHAMARI, K. (2020). International Olympic Committee consensus statement: Methods for recording and reporting of epidemiological data on injury and illness in sport 2020 (including STROBE Extension for Sport Injury and Illness Surveillance (STROBE-SIIS)). British Journal of Sports Medicine, 54: 372-389. doi: 10.1136/bjsports-2019-101969
  4. BARDEN, C. & STOKES, K. (2018). Epidemiology of injury in elite English schoolboy Rugby Union: A 3-year study comparing different competitions. Journal of Athletic Training, 53(5): 514-520. doi: 10.4085/1062-6050-311-16
  5. BATHGATE, A.; BEST, J.P. & CRAIG, G. (2002). A prospective study of injuries to elite Australian rugby union players. British Journal of Sports Medicine, 36(4): 265-269. doi: 10.1136/bjsm.36.4.265
  6. BLEAKLEY, C.; TULLY, M. & O’CONNOR, S. (2011). Epidemiology of adolescent rugby injuries: A systematic review. Journal of Athletic Training, 46(5): 555-65. doi: 10.4085/1062-6050-46.5.555
  7. BROOKS, J.H. & KEMP, S.P. (2008). Recent trends in rugby union injuries. Clinics in Sports Medicine, 27(1): 51-73. doi: http://dx.doi.org/10.1016/j.jsams.2014.06.015
  8. BROWN, J.C.; LAMBERT, M.I.; VERHAGEN, E.; READHEAD, C.; VAN MECHELEN, W. & VILJOEN, W. (2013). The incidence of rugby-related catastrophic injuries (including cardiac events) in South Africa from 2008 to 2011: A cohort study. British Medical Journal Open, 3:e002475. doi: 10.1136/bmjopen-2012-002475
  9. BROWN, J.C.; VERHAGEN, E.; KNOL, D.; VAN MECHELEN, W. & LAMBERT, M.I. (2016). The effectiveness of the nationwide BokSmart rugby injury prevention program on catastrophic injury rates. Scandinavian Journal of Medicine & Science in Sports, 26(2): 221-225. doi: 101111/sms.12414
  10. BROWN, J.C.; VILJOEN, W.; LAMBERT, M.I.; READHEAD, C.; FULLER, C.W.; VAN MECHELEN, W. & VERHAGEN, E. (2015). The economic burden of time-loss injuries to youth players participating in week-long rugby union tournaments. Journal of Science and Medicine in Sport, 18: 394-399. doi: http://dx.doi.org/10.1016/j.jsams.2014.06.015
  11. BURGER, N.; LAMBERT, M.I.; VILJOEN, W.; BROWN, J.C.; READHEAD, C. & HENDRICKS, S. (2014). Tackle-related injury rates and nature of injuries in South African Youth Week tournament rugby union players (under-13 to under-18): An observational cohort study. British Medical Journal Open, 4: e005556. doi: 10.1136/bmjopen-2014-005556
  12. COLLINS, C.L.; MICHELI, L.J.; YARD, E.E. & COMSTOCK, R.D. (2008). Injuries sustained by high school rugby players in the United States, 2005-2006. Archives of Pediatrics & Adolescent Medicine, 162(1): 49-54. doi: 10.1001/archpediatrics.2007.1
  13. CONSTANTINOU, D. & Bentley, A. (2015). Injuries at Johannesburg high school rugby festivals. South African Journal of Sports Medicine, 27(2): 46-49. doi: http://dx.doi.org/10.7196/SAJSM.596
  14. FREITAG, A.; KIRKWOOD, G.; SCHARER, S.; OFORI-ASENSO, R. & POLLOCK, A.M. (2015). Systematic review of rugby injuries in children and adolescents under 21 years. British Journal of Sports Medicine, 49(8): 511-519. doi: http://dx.doi.org/10.1136/bjsports-2014-093684
  15. FULLER, C.W.; MOLLOY, M.G.; BAGATE, C.; BAHR, R.; BROOKS, J.H.; DONSON, H.; KEMP, S.P.; MCCRORY, P.; MCINTOSH, A.S.; MEEUWISSE, W.H.; QUARRIE, K.L.; RAFTERY, M. & WILEY, P. (2007). Consensus statement on injury definitions and data collection procedures for studies of injuries in rugby union. British Journal of Sports Medicine, 41(5): 328-331. doi: 10.1136/bjsm.2006.033282
  16. LEAHY, T.M.; KENNY, I.C.; CAMPBELL, M.J.; WARRINGTON, G.D.; CAHALAN, R.; HARRISON, A.J.; LYONS, M.; GLYNN, L.G.; PURTILL, H. & COMYNS, T.M. (2020). Injury surveillance and prevention practices across rugby schools in Ireland. Physical Therapy in Sport, 43: 134-142. doi: 10.1080/02640414.2016.1255771
  17. LEAHY, T.M.; KENNY, I.C.; CAMPBELL, M.J.; WARRINGTON, G.D.; PURTILL, H.; CAHALAN, R.; & COMYNS, T.M. (2022). Injury trends for school rugby union in Ireland: The need for position-specific injury-prevention programs. Sports Health, 15(1):131-141. doi: https://doi.org/10.1177/19417381221078531
  18. LEE, A.J. & GARRAWAY, W.M. (1996). Epidemiological comparison of injuries in school and senior club rugby. British Journal of Sports Medicine, 30(3): 213-217. doi: 10.1136/bjsm.30.3.213
  19. LEUNG, F.T.; FRANETTOVICH SMITH, M.M. & HIDES, J.A. (2017). Injuries in Australian school-level rugby union. Journal of Sports Sciences, 35(21): 2088-2092. doi: https://doi.org/10.1080/02640414.2016.1255771
  20. MCMANUS, A. & CROSS, D.S. (2004). Incidence of injury in elite junior rugby union: a prospective descriptive study. Journal of Science and Medicine in Sport, 7(4): 438-445. doi: https://doi.org/10.1016/S1440-2440(04)80261-5
  21. NATHAN, M.; GOEDEKE, R. & NOAKES, T.D. (1983). The incidence and nature of rugby injuries experienced at one school during the 1982 rugby season. South African Medical Journal, 64: 132-137. doi: https://hdl.handle.net/10520/AJA20785135_10197
  22. NICHOLL, J.P.; COLEMAN, P. & WILLIAMS, B.T. (1995). The epidemiology of sports and exercise-related injury in the United Kingdom. British Journal of Sports Medicine, 29(4): 232-238. doi: http://dx.doi.org/10.1016/j.jsams.2014.06.015
  23. PATRICIOS, J. (2014). BokSmart – South African rugby’s national rugby safety and injury prevention program. Current Sports Medicine Reports, 13(3): 142-144. doi: 10.1249/JSR.0000000000000049
  24. SEWRY, N.; VERHAGEN, E.; LAMBERT, M.; VAN MECHELEN, W. & BROWN, J.C. (2017). Evaluation of the effectiveness and implementation of the BokSmart Safe Six injury prevention programme: a study protocol. Injury Prevention, 23(6): 428-436. doi: 10.1136/injuryprev-2016-042188
  25. STARLING, L.; READHEAD, C.; VILJOEN, W. & LAMBERT, M. (2018). The South African rugby union youth weeks injury surveillance report. South African Journal of Sports Medicine, 31(1): 1-19. http://dx.doi.org/10.17159/2078-516x/2019/v31i1a6365
  26. VAN MECHELEN, W.; HLOBIL, H. & KEMPER, H.C. (1992). Incidence, severity, aetiology and prevention of sports injuries. A review of concepts. Sports Medicine, 14(2): 82-99. doi: 10.2165/00007256-199214020-00002
  27. WILLIAMS, S.; TREWARTHA, G.; KEMP, S. & STOKES, K. (2013). A meta-analysis of injuries in senior men’s professional rugby union. Sports Medicine, 43(10): 1043-1055. doi: 10.1007/s40279-013-0078-1
  28. WORLD RUGBY. (2021). “The history of rugby”. Hyperlink: [https://www.world.rugby/organisation/about-us/history]. Retrieved on 18 December 2021.

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